Behavioral
Five Rivers Health Centers
Five Rivers Health Centers was paid $18K by Medicaid between Dec 2018 and Nov 2024, across 9 billing codes. Its largest line is 99188, — 79% of everything it billed.
33Billing provider infoFIVE RIVERS HEALTH CENTERS
XENIA, OH 45385
XENIA, OH 45385
33aNPI1629546221assigned 11/13/2018
33bProvider typeSocial Worker
28Total paid$18K
24GClaims983
24DCodes billed9
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Social Worker providers in Ohio
Rank by total paid#94 of 225
Median peer was paid$12K
This provider vs. median1.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MCFARLANE-EL, GINA controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 225 | $63.80 | |
| 2019 | 101 | $2K | |
| 2020 | 61 | $2K | |
| 2023 | 87 | $1K | |
| 2024incomplete | 509 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99188 | 79% | 596 | 527 | $14K | |
| 99401 | 20% | 162 | 157 | $4K | |
| 99381 | <1% | 27 | 26 | $63.80 | |
| 90670 | 0% | 19 | 19 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 98 | 51 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 28 | 28 | $0.00 |
| 90698 | 0% | 19 | 19 | $0.00 | |
| 90474 | 0% | 17 | 17 | $0.00 | |
| 90680 | 0% | 17 | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCFARLANE-EL, GINA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Five Rivers Health Centers | Dayton, OH | $13.10M |
| Five Rivers Health Centers | Dayton, OH | $7.95M |
| Five Rivers Health Centers | Xenia, OH | $2.54M |
| Five Rivers Health Centers | Xenia, OH | $2.08M |
| Five Rivers Health Centers | Dayton, OH | $1.76M |
| Five Rivers Health Centers | Dayton, OH | $755K |
| Five Rivers Health Centers | Dayton, OH | $208K |
| Five Rivers Health Centers | Dayton, OH | $121K |
| Five Rivers Health Centers | Dayton, OH | $115K |
| Five Rivers Health Centers | Dayton, OH | $102K |
| Five Rivers Health Centers | Dayton, OH | $14K |
| Five Rivers Health Centers | Dayton, OH | $7K |
| Five Rivers Health Centers | Dayton, OH | $7K |
| Five Rivers Health Centers | Xenia, OH | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.